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v1.0.0
ICD-10 Guide
ICD-10 CodesQ76.429

Q76.429

Billable

Congenital lordosis, unspecified region

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q76.429 is a billable code used to indicate a diagnosis of congenital lordosis, unspecified region.

Key Diagnostic Point:

Congenital lordosis is a spinal deformity characterized by an excessive inward curvature of the lumbar spine. This condition can be present at birth and may be associated with other congenital malformations or syndromes. The severity of lordosis can vary, and it may lead to complications such as pain, mobility issues, and postural abnormalities. In pediatric patients, congenital lordosis can be part of a broader spectrum of musculoskeletal deformities, including scoliosis, clubfoot, and limb reduction defects. Diagnosis typically involves clinical examination and imaging studies, such as X-rays or MRI, to assess the degree of curvature and rule out associated anomalies. Treatment options may include physical therapy, bracing, or surgical intervention, depending on the severity and impact on the child's function and quality of life. Accurate coding is essential for appropriate management and reimbursement, as well as for tracking the prevalence of congenital musculoskeletal conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of lordosis
  • Potential association with other congenital conditions
  • Need for comprehensive documentation to support diagnosis
  • Differentiation from acquired forms of lordosis

Audit Risk Factors

  • Inadequate documentation of associated conditions
  • Failure to specify the region affected
  • Misclassification of congenital versus acquired conditions
  • Lack of clarity in treatment plans and outcomes

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Documentation should include a detailed history of the child's development, physical examination findings, and any imaging studies performed. It is crucial to note any associated congenital anomalies.

Common Clinical Scenarios

A pediatric patient presents with back pain and a noticeable curvature of the spine. Imaging reveals congenital lordosis, and the child is referred for physical therapy.

Billing Considerations

Pediatric coders must be aware of the growth and developmental milestones that may impact the assessment and management of congenital lordosis.

Genetics

Documentation Requirements

Genetic evaluation may be necessary to identify any syndromic associations with congenital lordosis. Documentation should include family history and any genetic testing results.

Common Clinical Scenarios

A child with congenital lordosis is evaluated for potential genetic syndromes, leading to further testing for conditions like Marfan syndrome or Ehlers-Danlos syndrome.

Billing Considerations

Genetic coders should focus on the implications of genetic findings on the management of congenital lordosis and related conditions.

Coding Guidelines

Inclusion Criteria

Use Q76.429 When
  • According to ICD
  • CM guidelines, congenital conditions should be coded based on the specific anatomical site and any associated conditions
  • Documentation must support the diagnosis and any treatment provided

Exclusion Criteria

Do NOT use Q76.429 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20610CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used in conjunction with physical therapy for symptomatic relief in patients with congenital lordosis.

Documentation Requirements

Document the indication for the procedure and any imaging studies that support the need for intervention.

Specialty Considerations

Pediatric orthopedic specialists may frequently utilize this procedure in managing musculoskeletal conditions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes. Q76.429 provides a clear designation for congenital lordosis, facilitating better tracking of this condition in pediatric populations.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes. Q76.429 provides a clear designation for congenital lordosis, facilitating better tracking of this condition in pediatric populations.

Reimbursement & Billing Impact

reimbursement processes. Q76.429 provides a clear designation for congenital lordosis, facilitating better tracking of this condition in pediatric populations.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between congenital lordosis and acquired lordosis?

Congenital lordosis is present at birth due to developmental anomalies, while acquired lordosis develops later in life due to factors such as obesity, poor posture, or injury. Accurate coding requires distinguishing between the two based on clinical documentation.